Organization
GIL T MANTUANO MD INC
Active
Organization
GIL T MANTUANO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO TISBE MANTUANO MD (OWNER/PRESIDENT)
(559) 740-4094
Entity
Organization
Contact information
Practice address
842 S AKERS ST, VISALIA, CA 93277-8309
(559) 740-4094
(559) 740-4100
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A30125
CA
Other
Enumeration date
03/23/2011
Last updated
06/02/2011
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